Inclined Bed Therapy or I.B.T. an alternative to sleeping flat, Used by the Ancient Egyptians 4000 years ago, is shown to help people with serious illnesses including multiple sclerosis, ccsvi, Parkinson's, psoriasis, acne,spinal cord Injuries,varicose veins, oedema, circulation & respiratory conditions and many more. Begs the question: How Safe Is Sleeping Flat?

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Saturday, January 16, 2010

Postural Paralysis and Inclined Therapy for MS CCSVI

History Of Postural Paralysis. This document from The British Medical Journal, Published Augus 8th 1938 is very interesting, and confirms the importance of posture for neurological function. It is a must read for anyone using or considering Inclined Therapy.Print and study thoroughly.

Plain Text Version

PARALYSIS DUE TO POSTUREBYE. B. CLAYTON, M.B., B.Ch.DIRECTOR OF PHYSICAL TREATMENT DEPARTMENT, KING'S COLLEGEHOSPITALThe following cases of nerve paralysis, which are apparentlydue to pressure during the maintenance of someposture, have been collkcted from the notes of patientsattending the Physical Treatment Department of King'sCollege Hospital during the last ten years.Anterior Tibial Nerve ParalysisCase 1.-In a woman, aged 59, there was a sudden onsetof foot-drop when she was kneeling to clean a grate in April,1926. On examination the external popliteal nerve wasfound to be tender and thickened at the neck of the fibula.Only the anterior tibial group of muscles were affected, theperoneus longus and brevis being normal. The faradicreaction was present but reduced, in April; by July it hadcompletely disappeared. However, there was return of fairlystrong foot dorsiflexion by September.Case 2.-A man, aged 42, had a sudden onset of foot-dropwhile gardening in a crouching position in March, 1926. Onlythe anterior tibial group of muscles were affected. There wasa history of a wound in the thigh during the war, but therewas no paralysis at that time. The duration of paralysis wassixty days.Case 3.-A man, aged 23, had sudden foot-drop afterkneeling for over an hour in October, 1923. It lasted fortwenty-four days.Circumflex Nerve ParalysisCase 4.-A woman, aged 52, discovered paralysis of thedeltoid muscle on waking one morning in February, 1936.She was suffering from fibrositis in the scapular region followingan attack of influenza previous to the paralysis, theduration of which was two weeks.Case 5.-A man, aged 37, discovered paralysis of thedeltoid muscle on waking one morning in March, 1936. Theparalysis disappeared in a short time, but returned thefollowing day. He had been previously suffering from fibrositisin the scapular region, and for a fortnight before theparalysis developed cramp if sleeping on either arm. Theduration of the paralysis was only a few days.Ulnar Nerve ParalysisCase 6.-A lad, aged 21, experienced a sudden onset ofulnar paralysis when riding a bicycle in April, 1932. He hadhad this before, when it only lasted one day, but the durationon the second occasion was twenty-six days. The paralysisonly affected the intrinsic hand muscles, and was apparentlydue to pressure of the hand on the handle-bar.Musculo-Spiral Nerve ParalysisCase 7.-A man, aged 52, suddenly developed wrist-dropafter lying down for about fifteen minutes with the handbehind the head, in February, 1926. It was a wet evening.On examination the musculo-spinal nerve seemed to bethickened at the middle of the posterior surface of thehumerus. The paralysis lasted for eight weeks.AUG. 8. 1936 PARALYSIS DUE. TO POSTURE THE RITISH 2Case 8.-A man, aged 37, had a sudden attack of wristdropafter sleeping in a chair on a Saturday night afterindulging in alcohol, in December, 1927. The duration wasthirteen days.Case 9.-In a man, aged 31, there was sudden onset ofwrist-drop after sleeping with one arm hanging over the sideof the bed, in January, 1928. He denied alcohol as the cause.He returned to work after fifteen days, not completelyrecovered.Case 10.-A man, aged 37, had a sudden onset of wristdropafter falling asleep with his head on his wrist, inJanuary, 1933. It lasted for seven weeks.Case 11.-In a man, aged 68, a sudden onset of wrist-dropoccurred from the pressure of an arm over a chair in February,1935. His teeth were very septic. It lasted for two months.Case 12.-A man, aged 40, woke up with right wrist-dropin June, 1930. He came to hospital five days later, whenweak active extension of the wrist had returned. No note isavailable as to the duration of treatment.In the four following cases, wrist-drop developed suddenlywithout any history of pressure on the musculospiralnerve.Case 13.-A man, aged 59, developed wrist-drop one Sundaymorning, with pains in the scapular region, in January, 1931.It lasted four months.Case 14.-In a woman, aged 32, wrist-drop developed suddenlyone afternoon in June, 1q32. There was a history ofrheumatism in the shoulder one month before, but there hadbeen no pain immediately before the onset of the paralysis.No note was made of the duration of treatment.Case 15.-A lad, aged 18, had wrist-drop one evening afterwork, in September, 1932. It lasted for twenty-three days.Case 16.-In a man, aged 58, wrist-drop came on suddenlywhile he was resting his elbow on the padded arm of a chair,in November, 1929. There was thickening of the musculospiralnerve near the external condyle of the humerus. Theduration was five weeks.The following two cases of ulnar nerve paralysis alsooccurred without any history of pressure on the nerve.Case 17.-In a woman ulnar nerve paralysis developed suddenlyin September, 1926. The hand had been " goingnumb " over the ulnar cutaneous area for some time previously.There was thickening of the ulnar nerve above theelbow. The duration was ten weeks.Case 18.-In a woman, aged 58, ulnar nerve paralysisdeveloped suddenly after she had finished her washing, inSeptember, 1935. The ulnar nerve was thickened above theelbow. The paralysis lasted for seven weeks.These last six cases show that paralysis, presumablyfrom perineuritis, may develop suddenly without pressure,and, in some cases, without any previous pain ornumbness.Transient ParalysesAn effort was made to discover to what extent minorcases of pressure paralysis occur which do not last asufficient time to require treatment. Inquiries fromhospital out-patients showed that the foot may " godead" on crossing the knees, and that the hand oroccasionally the whole arm may "be dead " on wakingin the morning. This " deadness clears up quickly onmovement. In many cases it only occurs occasionally,and seems to be associated with cold and damp weather,or fatigue. I could not obtain any history of foot-dropor wrist-drop.By making inquiries from people with a knowledge ofanatomy I found that:1. Ulnar paralysis on waking in the morning, after restingthe arms on the side of a chair, or from sleeping withthe hands behind the head, is fairly common.2. The foot may " go dead," but only rarely do theleg muscles become definitely paralysed by sitting with theknees crossed.3. In a few cases the whole arm is occasionally paralysedon waking in the morning.These paralyses always clear up quickly on movement.In several instances they did not occur regularly, andwere more likely to occur in damp and cold weather orwhen the person was fatigued. In one case the presenceof a septic focus increased the intensity and frequency ofoccurrence, but did not seem to increase the duration.Thus the causes are similar to those of fibrositis, withwhich it is often associated. I could find no case of wristdropor of foot-drop from kneeling.Points of InterestThe twelve cases of pressure paralysis due to posturerepresent the total number which attended the PhysicalTreatment Department of King's College Hospital duringten years. Since, presumably, all patients of this typewho attended the hospital would be ordered physicaltreatment, the number seems very small, considering thatseveral of the postures in which paralysis occurred areregularly assumed.No cases of ulnar nerve paralysis from pressure on thearm, or of foot paralysis from crossing the knees, occurredin this series, though these two types are frequently foundin the mild form which clears up on movement. On theother hand, I could not trace any mild cases of wrist-dropon waking in the morning, or foot-drop after kneeling,which recovered too quickly to require treatment, eitheramong hospital patients or friends.No patient came a second time to the hospital with arecurrence of the paralysis. This is a point against anyanatomical peculiarity being the cause.The fact that the majority developed in the coldermonths of the year suggests that cold and damp may bea predisposing cause.The external popliteal division of the sciatic nerve wascompressed from kneeling rather than the internal division.Presumably the nerve must have been compressedbetween the biceps tendon and the fibula.The six wrist-drop cases were in men, and of the fourcases of wrist-drop not due to pressure only one was in awoman. In only one case was a history of paralysisfollowing indulgence in alcohol obtained.The electrical reactions varied. In one case the faradicreaction disappeared, but in the majority it was normalor slightly reduced, and the galvanic reaction was rathersluggish.ConclusionSome of these cases can be explained as perineuritiswith added pressure. A few were probably due to pressureonly. It seems likely that in the others fatigue, coldand damp weather, or a septic focus may have been thepredisposing cause. It would operate by affecting thecirculation of the limb and making the nerve more sensitiveto pressure without actually causing a perineuritis,since this variation in sensitiveness to pressure is foundto be of common occurrence.H. Vignes (Progras Med., May 30th, 1936, p. 921)states that according to WV. H. Perkins the gravity ofspirochaetal Jaundice in pregnancy is closely xrelated tothe height and duration of the fever. Renal involvementis a bad sign. Haemorrhages are not speciallyfrequent at the time of delivery. Interruption of pregnancyis not uncommon. Experimentally Mirto observedit in 70 per cent. of his animals. In human subjectsabortion or premature delivery may be met with, especiallyin the Tropics and under unfavrourable hygienic con1-ditions. Abortion is particularly frequent in Japan, wheresevere forms of spirochaetal jaundice are common. Thefoetuls as a rule is infected. No special treatment iSindicated.

Zimbio

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If you control your breathing and deliberately slow it down,
your heart rate will also slow down. anxiety, apprehension, worrying, fear etc
can have a direct effect on heart rate.

The main circulation I.B.T. logic:

The theory behind Inclined bed therapy is that for every
breath exhaled we release a tiny pulse of denser solutes back into the main
arteries which gravity can act upon in favour of the circulation, which in turn
affects the venous return and stroke volume in the heart. This will cause the
heart to become more efficient at moving the blood around when we are on an
inclined, and when walking. Standing still and sitting applies direct pressure
to the vessels and surrounding muscle, ligaments and skin tissue and narrow the
vessels so the heart backs up pressure ( a main cause of feinting)

Shallow Breathing

The same scenario also applies to rapid shallow breathing,
we still release pulses of denser blood back into the main artery and after
passing back through the heart these solutes are drawn down the artery but
there are more of them, even though they are not as concentrated as when the
lungs are fully inflated and deflated from slower deeper breathing. This serves
to accelerate the heart and the respiration and I believe it is the main cause
of asthma hyperventilation.

School Girl Asthma attack

While out walking the dogs, I came across 2 schoolgirls, one
looking terrified and crying the other in hyperventilation having an asthma
attack. She was in serious trouble. Right away, I said listen carefully, she
nodded unable to talk and in distress. On breathing out count to 5 seconds
before inhaling try to repeat this for each breath, which she did.

Within 2 minutes her breathing and presumably her heart rate
had returned to normal, she became relaxed and the attack was ended. They both
thanked me and with smiles wider than the grand canyon walked calmly as if
nothing had happened.

Before reading the following article, apply the density
changes released by exhaling to the explanations given in it.

Also take into account the action of breathing into a paper
bag for hyperventilation. Here it would serve to eliminate the density changes
in the lungs due to breathing the same volume of moist air in and out of the
lungs so that no pulses of solutes will enter the main artery. Result:
breathing would return to base line rapidly.

I can also hear my own heart beating while laying on an
inclined and have experimented many times slowing down my breathing by releasing
a longer slower exhale and counting to 5 seconds or more before inhaling. I can
hear the changes in my own heart rate within 30 seconds.

Normally, while sleeping on an inclined bed the heart rate
slows down and the respiration rate slows down significantly by 10-12 beats per
minute and 4-5 breaths per minute, which is a huge difference to a person
sleeping flat. The same changes took place in 2 sleeping dogs (who didn’t mind
a stethoscope) on an incline.

While awake however, as previously stated, we can consciously
and subconsciously alter our breathing and the angled bed will make use of the
number of breaths we take either way. Even subtle changes in breathing can
start a steady acceleration of the heart, which in turn inflates and deflates
the lungs quicker in a vicious circle, but now you know how to intervene and
reverse this.

So please experiment with this method of controlled
respiration and do come back and let us know what you find.

You can also purchase a professional stethoscope from ebay
as I did for a few dollars / pounds, so you can observe the changes more
effectively.